GI関連の輪郭入力の参考になる文献です🐼
直腸、肛門、食道、膵、肝、胆管、胃がんを集めました🐼
随時増やしていきますね🐼
直腸、肛門、食道、膵、肝、胆管、胃がんを集めました🐼
随時増やしていきますね🐼
2021/10/23
輪郭入力の参考文献 (GI)
The definition of international CG for RC delineation endorsed by international experts might support a future homogeneous comparison between clinical trial outcomes.
あとは2006と2009年のものです。
Anal cancer
This atlas presents visual contouring guidance for genitalia in ACC radiotherapy for the first time. Contouring methods provide reproducible genitalia contours that allow the provision of accurate dose toxicity data in future studies.
These consensus planning guidelines and high-resolution atlas complement the existing Radiation Therapy Oncology Group (RTOG) elective nodal ano-rectal atlas and provide additional anatomic, clinical, and technical instructions to guide radiation oncologists in the planning and delivery of IMRT for &
Esophageal cancer
Accurate delineation of clinical target volume (CTV) is critical in the effective management of squamous cell carcinoma (SCC) of esophagus using radiation therapy. Accurate delineation may improve the probability of local control and reduce the risk of complications. However, there are no consistent &
This expert panel successfully reached agreement on contouring guidelines for esophageal and GEJ IMRT and generated a reference CTV atlas. This atlas will serve as a reference for IMRT contours for clinical practice and prospective trial design. Subsequent patterns of failure analyses of clinical da &
It is feasible to use such an atlas of thoracic lymph node stations for radiotherapy planning. A phase III study based on the atlas is ongoing in China to measure quantitatively the ENI received by patients with ESCC.
Pancreatic cancer
Using MRI as a primary image set to define a pancreatic adenocarcinoma GTV resulted in smaller contours compared with CT. No differences in DSC or the conformity index were seen between MRI and CT. A stepwise method is recommended as an approach to contour a pancreatic GTV using MRI.
With this report, we attempt to provide recommendations for MRI-based contouring of pancreatic tumors and OARs. This could lead to better uniformity in defining the GTV and OARs for clinical trials and in radiation therapy treatment planning, with the ultimate goal of improving local control while m &
Hepatocellular cancer
In a group of experts, excellent agreement was seen in contouring total GTV. Heterogeneity exists in the definition of portal vein thrombus that may impact treatment planning, especially if differential dosing is contemplated. Guidelines for HCC GTV contouring are recommended.
Biliary cancer
Radiotherapy (RT) is a treatment option for advanced biliary tract cancer (BTC), often combined with sequential and/or concurrent chemotherapy. The use of modern RT techniques requires accurate clinical target volume (CTV) definition and delineation. However, guidelines for CTV delineation in BTC ar &
Gastric cancer
This report serves as a template for the delineation of gastric lymph node stations to aid in the definition of elective clinical target volumes to be used in conformal treatment planning.
2021/10/11
Consensus contouring guidelines were established based on expert contours. Careful delineation of anatomic pathways and barriers to spread can spare radiation to uninvolved tissue without compromising target coverage. Further study is necessary to accurately define optimal target volumes beyond isom &
ASTROのguidelinesです🐼
Radiation therapy occupies an integral role in treating glioblastoma. Whether and how radiation therapy should be applied depends on characteristics specific to tumor and patient, including age and performance status.
ESTROのguidelinesです🐼
Currently, based on the EORTC consensus, a single clinical target volume definition based on postoperative T1/T2 FLAIR abnormalities is recommended, using isotropic margins without the need to cone down. A PTV margin based on the individual mask system and IGRT procedures available is advised, usual &
その他
In order to decrease inter- and intra-observer variability in delineating OARs relevant for neuro-oncology and thus derive consistent dosimetric data, we propose this atlas to be used in photon and particle therapy. The atlas is available online at www.cancerdata.org and will be updated whenever req &
Consensus contouring guidelines for postoperative completely resected cavity SRS treatment were established using expert contours and clinical practice. However, in the absence of clinical data supporting these recommendations, these guidelines serve as a baseline for further study and refinement.
A single (marginal) dose of 20 Gy is a reasonable choice that balances the effect on the treated lesion (local control, partial remission) against the risk of late side effects (radionecrosis). Higher doses (22-25 Gy) may be used for smaller (< 1 cm) lesions, while a dose reduction to 18 Gy may b &
This consensus guideline has the potential to improve consistency of craniospinal TV delineation in an era of high-precision radiotherapy. This proposal will be incorporated in the RTQA guidelines of future SIOPE-BTG trials using CSI.
This report provides guidelines for OARs delineation and their dose-constraints for the treatment planning of patients with brain tumors.
2021/10/04
マンスリーおすすめ論文(2021/10)
CNS
子宮頸がん
OBJECTIVE Due to the complexity of Spetzler-Martin (SM) Grade IV-V arteriovenous malformations (AVMs), the management of these lesions remains controversial. The aims of this multicenter, retrospective cohort study were to evaluate the outcomes after single-session stereotactic radiosurgery (SRS) fo &
National Institute of Neurological Disorders and Stroke for the randomisation phase and Vital Projects Fund for the follow-up phase.
子宮頸がん
IG-IMRT results in reduced toxicity with no difference in disease outcomes.
😎これは最近取り上げましたPARCER trial🇮🇳ね
直腸がん
ClinicalTrials.gov Identifier: NCT02921256.
TNT関連ではRAPIDO trial🇳🇱とPRODIGE 23 trial🇫🇷について取り上げたことも😎
前立腺がん
Radioligand therapy with 177Lu-PSMA-617 prolonged imaging-based progression-free survival and overall survival when added to standard care in patients with advanced PSMA-positive metastatic castration-resistant prostate cancer. (Funded by Endocyte, a Novartis company; VISION ClinicalTrial &
肺がん
ClinicalTrials.gov Identifier: NCT01965223.
これはnoteで取り上げられていた方がいましてね😎
貼っておきます。
https://jamanetwork.com/journals/jamaoncology/article-abstract/2783660 辺縁処方 28 Gy/1Frと48Gy/4Frを比べるという（BED10はほぼ同等） PIIのランダム化比較試験
その他
This work demonstrates the increase in resource utilization due to the introduction of advanced technologies and changes in radiotherapy techniques over the past decade. Human resource utilization is the predominant factor and should be considered with increasing patient volume for operational plann &
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